RANDOLPH DIALYSIS LLC

FORT WAYNE, IN
NPI1659796233
Doing Business AsTHREE RIVERS DIALYSIS
Entity TypeOrganization
Authorized ContactJOHN WINSTEL
Chief Accounting Officer
253-733-4501
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2014-02-19
Last Update Date2022-12-15
Business Address
RANDOLPH DIALYSIS LLC
6721 OLD TRAIL RD STE 100
FORT WAYNE, IN 46809-2655
Phone number: 260-478-8582
Mailing Address
RANDOLPH DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: 615-320-4514